At Jimenez Consulting Solutions we have had the opportunity to work
with clients on exciting and innovative projects. Alhtough there
are many more projects that those represnted below, this will give you
examples of the work that we have done. Click below to
learn more:

Clinical Integration IT Strategy, System Selection, and
Implementation

Jimenez Consulting Solutions was engaged by a Clinically Integrated
Network (CIN) to develop and implement its IT strategy. This involved
evaluating and selecting vendors for its planned Health Information
Exchange (HIE), Clinical Data Repository (CDR), Population Health
Management (PHM), Secure Texting, Provider Attestation, Referral
Management, and Risk Management solutions. We provided program
management, planning, roadmap creation, vendor contract development and
negotiation, requirements definition, implementation project management,
and test management for the implementations throughout a hospital
network and 170+ practices. This allowed our client to enhance their
in-network referrals and increase patient population and risk management
as well as internal network communication and collaboration.

ACO Launch and Operations

JCS was engaged by a Clinically Integrated Network (CIN), that was approved
as an Accountable Care Organization (ACO) to participate in CMS’s Medicare Shared Savings Program
(MSSP), to run their daily ACO operations, develop and execute the
strategy to report on the CMS-required quality measures, and develop and
execute the strategy to incorporate ACO requirements into daily patient
care management and the operations of the clinically integrated network.

We continue to oversee monthly processing of Medicare claims data
(CCLF), quarterly processing of ACO assigned beneficiary lists, daily
enrollment questions, working with tools to optimize ACO operations and
incorporate care into the ACO beneficiary population, and report on ACO
quality measures against which shared savings are calculated. We
helped our client successfully complete the 2014 quality reporting
process and become the only MSSP ACO in Arizona to achieve CMS shared
savings in the 2014 performance year.

Health Plan Startup

Jimenez Consulting Solutions was engaged in the foundation, ramp up,
and implementation of IT and business solutions for Arizona's only
health insurance co-op. We were engaged in every part of the business
in defining solutions and/or processes from sales and marketing through
marketplace applications and integration, enrollment and reconciliation
(individual and group), premium billing and payments, benefit and plan
design, provider network operations, claims processing, medical
management, customer service, grievances and appeals, quality
management, finance, human resources, accounting, and corporate
reporting.

This effort included development of RFPs and RFIs as well as the
assessment and selection of a variety of IT vendor partners and
solutions to support enrollment, web design and implementation
(including member, provider, and broker portals as well as the corporate
website), CRM, medical management, electronic banking solutions, call
center technologies, data warehouse, human resources, and IT
infrastructure.

We served in the following roles during this effort:

Interim CTO

Strategic Advisor

Program Manager (business and IT)

Project Manager

Business Analyst

Health Plan Enrollment and Member Management Solution

JCS was engaged to design and implement core business processes for
an enrollment and membership management platform for an insurance
company. The project was an effort to insource membership in an effort
to mitigate significant organizational setbacks caused by misalignment
between the Insurer and the Vendor. JCS also led the integration efforts
with all partners (upstream and downstream). The effort included:

Jimenez Consulting Solutions (JCS) was engaged to assist in the
development of an enterprise strategy to improve interoperability
between a hospital system and affiliated community physician groups. The
team led focus groups comprised of community physicians, hospital
executives and information technology experts to define strategic,
tactical and technical requirements for exchange of health information.
JCS managed the vendor selection and contracting process between
the healthcare organization and a Health Information Exchange (HIE)
vendor. The team also implemented the HIE solution at more than
ten hospitals in three states. To date, the organization has identified:

Savings in labor related to managing calls for copies of reports and medical records

Reduction in costs of document production and delivery

Increased physician and practice productivity and satisfaction

Improvements in the coordination of patient care

Ambulatory Electronic Medical Record
Planning

JCS led design and planning efforts for implementation of an
ambulatory electronic medical records system for 40 clinics. The team
worked closely with physicians, clinic and hospital executives, and
clinic personnel to:

Charge Description Master Process and
Technology

Jimenez Consulting Solutions (JCS) was engaged by a large regional
healthcare organization to lead the vendor selection, planning, and
implementation of Charge Description Master (CDM) software tools. The
selection process included market research, preparation of an RFP,
scoring of responses and ranking of vendors. A benefits analysis was
performed which identified opportunities to reduce cost and improve
reimbursement. JCS managed both the project and the overall program
which included:

Jimenez Consulting Solutions was engaged to manage
the selection and implementation of a cloud storage solution which supported
storage, transmission, retrieval, and viewing of digital images
from picture archive and communications systems (PACS) for two large
hospitals. Images were automatically moved to fully redundant,
geographically remote, backup storage facilities which are DICOM and
HIPAA compliant. Primary storage consisted of RAID 5 disk array.
Secondary storage consisted of a mobile disk array, which was used to
provide rapid restoration of the archived data in the event of a
disaster incident.

Enterprise Master Patient Index (EMPI) Planning

Jimenez Consulting Solutions led an effort to design and plan the
implementation of an Enterprise Master Patient Index (EMPI) system for
ambulatory centers affiliated with a hospital so that patient's
information could be shared across all entities. The effort included:

Review and selection of the proposed EMPI vendor and solution

Confirmation of the requirements across the ambulatory clinics and the hospital

Community Provider and Faculty Practice Integration

Developed and implemented a plan to integrate private primary care
physician practices into a faculty practice in order to increase referrals to
specialty clinics. Activities included:

Business case development

Practice management system planning and implementation

Charge master standardization

Workflow redesign

IT Strategy for Ambulatory Surgery Company

A physician owned specialty hospital was seeking to expand by
replicating its unique model of care in other geographies. The
organization established a steering committee to assess IT capabilities
and make recommendations. The engagement consisted of:

Enterprise Business Requirements Definition

In an effort to to broaden student opportunities within an
international university system, grow the knowledge base of the
communities it serves, and advance the educational landscape worldwide,
JCS led the process to define requirements for a local university that
would be later used for a global requirements definition process across
multiple international universities. This process included:

Completing a current state review of business process
documentation to identify business process improvement
recommendations.

Developing requirements in support of a future systems selection
process and establishing a standard template and level of detail for
requirement documentation that was applied in a consistent manner
for similar subsequent projects occurring at other subsidiaries
outside the United States.

SOA Strategy and Enterprise Software Evaluation & Selection

Jimenez Consulting Solutions was engaged by a large, global, higher
education company to standardize, streamline, and improve their
processes as well as define the information technology infrastructure
and support for their current subsidiaries. They also desired to have a
standard systems and process architecture in place to more easily and
quickly integrate future acquisitions into their business model.
Recognizing that the current systems' landscape would not support this
vision because it was unique and varied across each of the four current
subsidiaries, JCS was engaged to develop an IT roadmap and perform an
enterprise system selection for a dozen core university information
systems.

Current State Inventory and Gap Analysis

Jimenez Consulting Solutions (JCS) was engaged to compile and analyze
the current state architecture for two universities, one in London and
one in the United States. Additionally, JCS completed a gap analysis
identifying important considerations necessary for the move to a
standardized future state. This project included the following
activities:

Gathered information from business and technical resources
related to applications, databases, and interfaces currently in use.
Conducted on-site visits to both universities to hold in-person
interviews and system demonstrations. Gathered and reviewed
existing client system documentation.

Developed a current state inventory using information gathered
from university documentation and SME interviews.

Conducted a gap analysis mapping current state applications to
future state applications. The gap analysis also provided a detailed
description of migration plan actions and considerations.

Developed a systems diagram of the current state inventory and
logical system architecture for each university. The diagrams
displayed all applications, databases, and interfaces currently in
use at each of the two universities.

Major Academic Medical Center Funds Flow and Compensation Alignment

Jimenez Consulting was engaged in the development of a funds flow
model, financial model, and compensation planning tools for an academic
medical center seeking to change their clinical reimbursement methods
and improve faculty compensation and productivity. JCS consultants:

Built comprehensive financial models that supported dozens of
variables that forecasted the effects of proposed changes

Evaluated and forecasted the impact of proposed clinical
compensation and incentive plans for faculty

Analyzed financial, compensation, and employee performance data
and developed strategies for benchmarking

Monitored the impact of the implemented changes and created
reports and analysis

Customer & Call Center Technologies

Deployed Siebel Call Center, Siebel Marketing, Siebel Service and
other modules to at a leading eLearning company. Modules deployed
included Account and Contact Management, Territory Management,
Activities, Opportunity Management and Forecasting, Data Quality, Email
Marketing, Workflow, Order and Quote Management, Remote, Products and
Product Configuration. The solution was integrated with the
organization's legacy contract management and order management systems.
Healthcare Payer

Managed the implementation of a Customer Service Reporting System to
analyze multi-channel customer contact data for a national managed care
contact center. The reporting system (Broadbase) captured
operational data from a Clarify Customer Service application and other
customer channels including interactive voice response (IVR) and web to
present a single integrated view of customer interactions.

Manufacturing

ERP Selection & Implementation

JCS engaged with a local door manufacturer, which was small, growing
rapidly, and preparing to expand nationwide. They were using various
custom MS Access databases for order management and reporting, using
QuickBooks to support their accounting processes, and outsourcing their
payroll function. They were also in the initial phases of business out
their manufacturing floors and considering the need for a more robust,
integrated system to support their expansion.

JCS led the effort to assess, select, and implement an Enterprise
Resource Planning (ERP) systems that focused on the following key
components:

Order Entry and Management

Inventory Management

Production/Capacity Planning and Scheduling

Order Fulfillment

Distribution

Installation

Customer Care

Accounting

Management Reporting

Distribution Center Application Development

Managed custom development efforts to support the distribution
centers of a national health products retailer. In this effort, we
defined requirements and designed, developed, tested, and implemented
various custom solutions. These projects encompassed the
order-to-receipt process for goods shipped to the distribution centers
and then shipped from the distribution centers to retail stores.

Telecommunications

High Definition Video Conferencing

Jimenez Consulting Solutions was engaged large healthcare network to
manage the effort to implement a High-Definition Video Conferencing
(HDVC) solution across five (5) of their corporate offices in order to
decrease travel costs. This involved interacting with executive level
management, coordinating with the technical resources, managing all
issues and resolutions, and implementing the complex solution across
facilities.

Call Center Technologies Implementation

Engaged by a large cable/broadband provider to lead a call center
integration program the goal of which was to improve customer service.
The scope of the project included Interactive Voice Response (IVR),
Automated Call Distributor (ACD), Computer Telephony Integration (CTI)
Middleware, Predictive Dialer, and front-end applications which
automated screen pops. The team was comprised of corporate and regional
clients and several vendors.

Subscriber Management System Selection and Implementation

Managed the software selection process for a billing and subscriber
management sustem to support multiple products and services in several
call centers for a large broadband provider. This effort included
validating and enhance business, functional, technical, and
organizational requirements, developing an RFP, gathering key vendor
information, assessing scripted demos, conducting site vists,
consolidating findings, and providing a recommendation to the client.
Subsequently managed integration and implementation activities for the
initial implementation in a 300-seat call center. The
implementation effort included configuring the solution, defining
modicfications, defining interfaces, converting data, testing the
application, and rolling out the solution.